<%@ taglib prefix="shiro" uri="http://shiro.apache.org/tags" %>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<html>

<jsp:include page="../common/common.jsp"/>
<script type="text/javascript" src="/static/js/system/claims.js"></script>
<head>
    <title>新增报案表</title>
</head>
<body>

<table id="claims_list"></table>

<div id="claims_toolbar">
    <shiro:hasPermission name="claimsloyee:saveOrUpdate">
        <a class="easyui-linkbutton" href="#" iconCls="icon-add" plain="true" data-cmd="add">新增</a>
        <a class="easyui-linkbutton" href="#" iconCls="icon-edit" plain="true" data-cmd="edit">编辑</a>
    </shiro:hasPermission>
        <a class="easyui-linkbutton" href="#" iconCls="icon-ok" plain="true" data-cmd="accept">选中受理</a>
    <a class="easyui-linkbutton" href="#" iconCls="icon-reload" plain="true" data-cmd="reload">刷新</a>
        <a id="btn_state" class="easyui-linkbutton" href="#" iconCls="icon-search" plain="true" data-cmd="receiptsVerify">保单验证</a>

    搜索: <input id="keyword" type="text" class="easyui-textbox" name="keyword" prompt="关键字:姓名/保单号/电话/接待员"/>

    报案时间: <input id="minTime" type="text" class="easyui-datetimebox" name="minTime"> ~~
    <input id="maxTime" type="text" class="easyui-datetimebox" name="maxTime">
    <a class="easyui-linkbutton" href="#" iconCls="icon-search" plain="true" data-cmd="searchInfo">查询</a>

</div>



<div id="claims_dialog" style="margin-top: 16px">
    <form id="claims_form" method="post" style="padding-left: 110px;>
        <table align="center" >
    <input type="hidden" name="id"/>

    <div style="margin-bottom:12px">
        <input class="easyui-textbox" name="reporterName" label="报案人姓名:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>
    <div style="margin-bottom:10px">
        <select class="easyui-combobox" name="gender" label="性 别" labelAlign="center"
                labelWidth=100 labelPosition="before" style="width:75%; height:30px ; left: 30px;" panelHeight="60" editable="false">
            <option value="男" readonly="true">男</option>
            <option value="女" readonly="true">女</option>
        </select>
    </div>
    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="telNumber" label="联系电话:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>
    <div style="margin-bottom:10px">
        <input class="easyui-datetimebox" name="accidentTime" label="事发时间:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>
    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="accidentAddress" label="事发地点:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>
    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="insuranceNum" label="保单编号:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>

    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="carNumber" label="车牌号:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>

    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="accidentDescription" label="案件描述:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;"
               data-options="required:true">
        </input>
    </div>

    <div style="margin-bottom:10px">
        <input class="easyui-textbox" name="remark" label="备注:" labelAlign="center" labelWidth=100
               labelPosition="before" style="width:75%; height:30px; left:30px;">
        </input>
    </div>
    </table>

    </form>


    <div id="claims_diaButtons">
        <a href="#" class="easyui-linkbutton" iconCls="icon-save" data-cmd="save">提交</a>
        <a href="#" class="easyui-linkbutton" iconCls="icon-cancel" data-cmd="cancel">取消</a>
    </div>
</div>
</body>
</html>
